Provider Demographics
NPI:1881722650
Name:CHU, DANIEL WEI-KONG (LCSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:WEI-KONG
Last Name:CHU
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 N SIERRA BONITA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2407
Mailing Address - Country:US
Mailing Address - Phone:818-952-6648
Mailing Address - Fax:
Practice Address - Street 1:457 N SIERRA BONITA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-2407
Practice Address - Country:US
Practice Address - Phone:818-952-6648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW18769101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health